Whalio Doctors

NPI 1003284274

Clark Robert Thompson, MA

Practitioner Student in an Organized Health Care Education/Training Program Fayetteville, AR

Practice location

Address
86 W Sunbridge Dr, Fayetteville, AR 72703-1822
Phone
(479) 435-6360
Mailing address
405 Central Ave, Northfield, IL 60093-3006

Registered specialties (2)

Student in an Organized Health Care Education/Training Program Primary
Student, Health Care Taxonomy 390200000X
Psychologist
Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 1810AP-PL (AR)

Registry record

NPI
1003284274
Entity type
Individual
Sex (as registered)
Male
NPI issued
4 Sep 2015
Record last updated
31 Oct 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.